Individual provider · Type 1 NPI

Miranda Villanueva, M.S., PA-C

Medical Physician Assistant · Freehold, NJ

NPI number 1306960026 Active

Practice location

901 W Main St, Centrastate Medical Center
Freehold, NJ 07728-2537

Call (732) 294-2666 Map

Fax (732) 431-8267

Mailing address

PO Box 2680, Central Jersey Emergency Med Assoc Pc
New Brunswick, NJ 08903-2680

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X25MP00177400 (NJ)

Medical Physician Assistant: Definition to come...

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About NPI 1306960026

Miranda Villanueva, M.S., PA-C's National Provider Identifier is 1306960026, issued on Mar 19, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Freehold, NJ. The record was last updated on Jul 8, 2007.